Toward a 21st Century Health System

The Contributions and Promise of Prepaid Group Practice

by Alain C. Enthoven, Laura A. Tollen, William L. Roper

Series: Jossey-Bass Public Health (No. 9)

Toward a 21st Century Health System is a collection of thoughtful analyses that explore a key element of the health care delivery system-physician group practices. Edited by policy experts Alain Enthoven and Laura Tollen, and written by a blue ribbon panel of health policy scholars and leaders including Stephen Shortell, Hal Luft, Donald Berwick, James Robinson, and Helen Darling, this resource addresses a variety of topics, including

  • Organized delivery systems
  • Quality of care in prepaid group practice versus other types of managed care
  • The role of physician leadership and culture in group practice
  • Prepaid group practice and the formation of national health policy

This comprehensive resource also covers such topics as pharmacy benefit management, technology assessment, health services research, and employer purchasing of benefits– all as they relate to prepaid group practice.


  • Wiley; March 2004
  • ISBN: 9780787974046
  • Edition: 1
  • Read online, or download in secure PDF format
  • Title: Toward a 21st Century Health System
  • Series: Jossey-Bass Public Health (No. 9)
  • Author: Alain C. Enthoven (ed.); Laura A. Tollen (ed.); William L. Roper (other)
  • Imprint: Jossey-Bass

About The Author

ALAIN C. ENTHOVEN, PH.D (editor) is Marriner S. Eccles Professor of Public and Private Management (Emeritus), Graduate School of Business, and Senior Fellow, Institute for International Relations, Center for Health Policy, Stanford University. He was one of the architect's of the managed competition model of health reform, which was subsequently adopted by President Clinton in the Health Security Act of 1996.

LAURA TOLLEN, MPH, (editor) is Senior Policy Consultant for Kaiser Permanente Institute for Health Policy. Prior to joining the Institute, Laura was Senior Analyst and Project Director at the Institute for Health Policy Solutions, a Washington, DC-based think tank.